Medical Billing and Coding

• Responsible for resolving coding account edits of multiple patient types prior to billing
• Responsibilities will include assigning and/or correcting codes and modifiers with ICD-10-CM, CPT and HCPCS Level II Codes
• Maintain consistent accuracy rate of 90% or better while also meeting agreed upon productivity standards
• Reconcile held accounts by resolving the edit and dropping the account
• Responsible for all account edits from various payors and vendors
• Identify and report major edit issues
• Assist in identifying problems and resolution thereof
• Identify opportunities to reduce coding edits by providing proactive education
• Communicate quality issues to management as appropriate
• Maintain required productivity and quality requirements
• Maintain coding credential requirements

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Claims Edit & Denials Coder